| Richmond Total Medical, P.c. | |
|
1776 Richmond Rd Suite 5 Staten Island NY 10306-2581 | |
| (718) 668-9300 | |
| (718) 668-1834 |
| Full Name | Richmond Total Medical, P.c. |
|---|---|
| Speciality | General Practice |
| Location | 1776 Richmond Rd, Staten Island, New York |
| Authorized Official Name and Position | John Dominick Mccarthy (PRESIDENT) |
| Authorized Official Contact | 7183175960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond Total Medical, P.c. 131 Hillside Ter Staten Island NY 10308-2819 Ph: (718) 317-5960 | Richmond Total Medical, P.c. 1776 Richmond Rd Suite 5 Staten Island NY 10306-2581 Ph: (718) 668-9300 |
| NPI Number | 1730218363 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9638279805 |
|---|---|
| Medicare Enrollment ID | O20070717000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730218363 | NPI | - | NPPES |
| 02060699 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 211722 (New York) | Primary |
| Provider Name | John Mccarthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235103342 PECOS PAC ID: 1951390434 Enrollment ID: I20040510001051 |
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